National Provider Identifier [NPI]: |
1073554515 |
Last Name Of The Provider |
SPEED |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
208 MCFARLAND CIR N |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354061800 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
216 |
Number Of Services |
9321 |
Number Of Medicare Beneficiaries |
3174 |
Total Submitted Charge Amount |
871345 |
Total Medicare Allowed Amount |
274344.35 |
Total Medicare Payment Amount |
206870.45 |
Total Medicare Standardized Payment Amount |
223774.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3625 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
725 |
Total Drug Medicare AllowedAmount |
631.48 |
Total Drug Medicare PaymentAmount |
494.96 |
Total Drug Medicare Standardized Payment Amount |
494.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
215 |
Number Of Medical Services |
5696 |
Number Of Medicare Beneficiaries With Medical Services |
3174 |
Total Medical Submitted Charge Amount |
870620 |
Total Medical Medicare Allowed Amount |
273712.87 |
Total Medical Medicare Payment Amount |
206375.49 |
Total Medical Medicare Standardized Payment Amount |
223279.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
878 |
Number Of Beneficiaries Age 65 to 74 |
993 |
Number Of Beneficiaries Age 75 to 84 |
864 |
Number Of Beneficiaries Age Greater 84 |
439 |
Number Of Female Beneficiaries |
1818 |
Number Of Male Beneficiaries |
1356 |
Number Of Non Hispanic White Beneficiaries |
2057 |
Number Of Black or African American Beneficiaries |
1092 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
2153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1021 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1466 |